In vitro characterisation of a pleconaril/pirodavir-like compound with potent activity against rhinoviruses

The genus Enterovirus comprises several human pathogens with a substantial clinical impact on society like poliovirus (PV), rhinoviruses (HRV) and enterovirus 71 (EV71) [1]. Rhinoviruses cause common colds in healthy people but may trigger exacerbations in patients with asthma and COPD [2, 3]. Vaccination against rhinovirus infection is not yet feasible due to the large number of serotypes. Treatment with small-molecule inhibitors therefore seems to be the best possible option to lower the burden of this disease. To date, the rhinoviral capsid and protease are the best characterized antiviral targets. However, a drug has still to be approved for clinical use [1]. In the past, several early-stage rhinovirus inhibitors, referred to as capsid binders, were discovered. Pleconaril, pirodavir and vapendavir are the most extensively studied capsid binders (Fig. 1). In 2002, the New Drug Application for pleconaril (Schering-Plough) as drug against the common cold was rejected by the FDA, mainly because of safety reasons [4, 5]. Pirodavir (Janssen Pharmaceutica) inhibits in vitro the replication of both HRV-A,–B and, to a lesser extend, that of other enteroviruses [6]. Prophylactic treatment with pirodavir reduced the frequency of experimental rhinovirus infections and subsequent clinical colds only when the drug was administered intranasally six times a day [7]. Oral delivery of the ester-derivate pirodavir is not feasible given the fact that it rapidly hydrolyses to an inactive acid. No reduction of clinical symptoms was observed in the subsequent therapeutic trial with experimental rhinovirus infection. Although pirodavir treatment of naturally acquired rhinovirus infections significantly reduced virus shedding during the treatment period, no positive outcome on the clinical signs and respiratory symptoms was observed [8]. Furthermore, in all trials, pirodavir treatment was associated with an unpleasant taste and the more frequent presence of blood in the nasal mucus. Vapendavir (Biota Holdings), a benzisoxazole analogue of pirodavir, is currently in clinical development for the treatment of rhinovirus-induced asthma exacerbations [9]. In the past, we explored the antiviral activity of a panel of pirodavir analogues with modifications of the central hydrocarbon chain [10, 11]. Here, we report on the particular characteristics of the antiviral activity and mode of action of a novel and the until now most potent and least toxic analogue in this series (Fig. 1). Compound ca603 has been designed based on the structure of I-6602 and was synthesized at ASM Company (Burgwedel, Germany).

The antiviral activity of ca603 was assessed in a multi-cycle, virus-cell-based cytopathic effect (CPE) reduction assay in HeLa cells [12]. The compound proved to be active against HRV strains from both the HRV-A (HRV09, HRV29, HRV85 and HRV89) and HRV-B group (HRV14, HRV70 and HRV86) (Table 1) with a 50 % effective concentrations (EC₅₀’s) ranging from 0.01 μM to 15 μM. Although ca603 exerted in vitro antiviral activity against EV71, PV1 and echovirus 11 (ECHO11), the compound was not able to induce complete protection against virus-induced CPE at non-toxic concentrations (Table 1).

Early-stage inhibitors like pleconaril and pirodavir are only able to prevent virus replication when added prior to, or at the time of infection in a time-of-drug addition assay. Akin to pleconaril, ca603 lost its inhibitory activity when added after infection, indicating that ca603 acts, as expected, at an early stage in the rhinovirus replication cycle (Fig. 2).

Next, the antiviral potency of ca603 was assessed on the replication of two earlier-reported pleconaril-resistant HRV14 variants [9]. Both virus mutants were generated by site-directed mutagenesis (Quikchange-Stratagene, primer sequences available on request) in a HRV14 infectious clone (kindly provided by D. Blaas, University of Vienna, Austria). Viruses derived from this infectious clone (IC) are designated as HRV14_IC. The single mutant HRV14_IC VP1_A150V proved to be 10-and 40-fold less sensitive to ca603 and pleconaril, respectively (Table 2). Both ca603 and pleconaril proved also markely less active (12-and 28-fold, respectively) against the double mutant HRV14_ICVP1_A150V_E276K.

Rhinoviruses are sensitive to thermal stress. However, interaction with a capsid binder can stabilize the virion and increase the temperature at which heat inactivation occurs. We assessed the effect of ca603 on two HRV14_IC strains in a thermostability assay (Fig. 3). HRV14_IC wild-type or HRV14_IC VP1_A150V_E276K were incubated with a fixed concentration of ca603 (1 μM) or pleconaril (10 μM) for 15 min at 37 °C, 2 min at temperatures ranging from 37-57 °C (Lightcycler 96, Roche), followed by a rapid cool down to 4 °C. Infectious viral loads were subsequently quantified by end-point titration. Both HRV14_IC wild-type and HRV14_IC VP1_A150V_E276K were equally sensitive to heat-inactivation (Fig. 3a): gradual loss of infectivity is observed by increasing the temperature to 57 °C. In the presence of ca603 and pleconaril, heat-inactivation of HRV14_IC wild-type shifted to higher temperatures, suggesting that both compounds stabilize the viral capsid and protect the virus from heat degradation (Fig. 3b). Both compounds were not able to preserve the infectivity of HRV14_IC VP1_A150V_E276K to the same extent, indicating loss of interaction with either compound (Fig. 3c). Some residual protection was still observed, which is in agreement with the fact that the reverse-engineered pleconaril-resistant HRV strain is only partially resistant to the antiviral activity of the compounds.

Sequence alignment of the VP1 residues reported to constitute the hydrophobic pocket within the capsid were constructed with the use of CLC sequence viewer (Qiagen). For the HRV-B strains in the test panel, no satisfying explanation could be derived from this alignment that explains the moderate activity (>2 μM) against HRV42 and HRV70 compared to the potent activity (<2 μM) against HRV14 and HRV86 (Additional file 1: Figure S1). Also for the panel of HRV-A strains, no pattern of residues in the hydrophobic pocket could explain the difference in activity (from none against HRV2 and HRV63, moderate against HRV9 and HRV 85, to potent activity against HRV29 and HRV 89) (Additional file 2: Figure S2). The full alignment of HRV-A VP1 proteins revealed an alanine on position 176 (HRV02, FG loop) for the naturally compound-resistant strains, while a serine or threonine was detected for the strains against which moderate activity was observed, and a proline in the most susceptible strains (Fig. 4).

The cross-resistance and thermostabilizing studies indicate that the antiviral effect of ca603 is due to a pleconaril-like mechanism of action, i.e. acting as a capsid binder. The pleconaril/HRV14 capsid protein cocrystal structure (PDB id 1NCQ) [13] was used to study the binding mode of ca603. The Plants-proposed [14] ca603 docking pose well resembled the binding mode that was reported for pleconaril with the two derivatives sharing many key interactions. In particular for ca603, we observed that 1) the oxazole ring was stabilized by hydrophobic interactions with Y197 and L106; 2) the alkyl chain formed extensive van der Waals contacts with I104, V188 and V191; 3) the aryl ring established π-interactions with Y152 and Y128; and 4) the ethoxycarbonyl function made hydrophobic interactions mainly with F186 and P174 (Fig. 5). For a better understanding of how the observed mutations induce resistance, the interaction of the compound was also investigated in the context of a model in which the VP1_A150V mutant was introduced. Replacing the alanine at the bottom tip of the cleft with the bulkier valine narrowed the binding pocket, which causes a slight shift in binding mode. It should be noted that this shift did not disrupt the key binding interactions that were observed for wild-type HRV14 (Additional file 3: Figure S3). The modelling results therefore corroborate the biological results (i.e. a decrease in sensitivity but no full resistance) and validate the observed correlation between primary amino acid sequence of the binding site and the observed anti-HRV activity against wild-type and compound-resistant HRV14 variants.

Additional docking studies were carried out with the VP1 of HRV42, a virus serotype featuring the Y152F and V191L mutations that have been associated with resistance to pleconaril [15]. It was reported that the replacement of valine with the bulkier leucine narrowed the binding cleft with consequent negative steric effects [15]. Among the studied compounds, the pleconaril binding mode was markedly affected by the bulkier dimethyphenyl group close to position 191 (RMSD >2). On the contrary, the binding mode of ca603 seemed to be only weakly affected due to the smaller size of the unsubstituted phenyl ring near position 191, while all other interactions were retained, which is reflected in the anti-HRV42 activity of ca603 (Additional file 4: Figure S4).